Mcdaniel, Jeanette R
Mcdaniel, Jeanette R is an individual health care provider with primary practice located at 1829 Reisterstown Road Suite 205, Baltimore MD 21208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcdaniel, Jeanette R can be contacted via phone (410) 602-9850.Contact Information
Primary practice address
1829 Reisterstown Road Suite 205
Baltimore MD 21208
Phone: (410) 602-9850
Fax: (410) 602-9857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0034935 | Maryland |
Profile Details
| NPI number | 1528035607 |
|---|---|
| LBN Legal business name | Mcdaniel, Jeanette R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Sep 6th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528035607 | NPPES |
| Maryland | MEDICAID | 48402160 |
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